HCPCS Code J0738
Injection, lenacapavir, 1 mg, fda approved prescription, only for use as hiv pre-exposure prophylaxis (not for use as treatment for hiv)
| Short Description | Hiv prep, inj, lenacapavir |
|---|---|
| Year | 2026 |
| Coverage Code | D = Special coverage instructions apply |
| Action Code | A = Add procedure or modifier code |
| Action Effective Date | October 01, 2025 |
| Code Added Date | October 01, 2025 |
| Pricing Indicator | 57 = Other carrier priced |
| Type of Service | 1 = Medical care P = Lump sum purchase of DME, prosthetics, orthotics |